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TexSun NeoEd
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Добавлен 19 май 2019
Team Size for Neonatal Resuscitation
Short clip explaining who to send and when to send more for a baby delivery.
Просмотров: 4 160
Видео
Neonatal Resuscitation Education for Essential Providers
Просмотров 75 тыс.Год назад
A demonstration of umbilical cord management, initial steps (providing warmth, drying and stimulation), and effective positive pressure ventilation including the corrective measures and laryngeal mask airway (supraglottic airway) use. This is intended for providers that take neonatal resuscitation education as "essential" providers. #ImEssential
Cord Management, Initial Steps, & Ventilation, Neonatal Resuscitation Education Video 1, 2023
Просмотров 29 тыс.Год назад
Covers delayed cord clamping and cord management, the initial steps of warmth and stimulation, and then the use of positive pressure ventilation by mask. Goes through the ventilation correction steps of MRSOPA. A great starter video for those that might be called upon for neonatal resuscitation.
Alternative Airway & Chest Compressions, Neonatal Resuscitation Education Video 2, 2023
Просмотров 27 тыс.Год назад
Covers both laryngeal mask airway (LMA, or supraglottic airway, SGA) and endotracheal tube intubation. Then covers current correct performance of chest compressions.
Emergency Vascular Access & Medication, Neonatal Resuscitation Education Video 3, 2023
Просмотров 18 тыс.Год назад
Covers both emergency umbilical venous access (UVC) and intraosseous (IO) needle placement. Then covers correct dosing of epinephrine for both IV and intratracheal dose.
Difficult Ventilation: Beyond Advanced Neonatal Resuscitation, Episode 5
Просмотров 1,8 тыс.Год назад
What's the frequency Systematic Review of Supraglottic airways/ Laryngeal masks pubmed.ncbi.nlm.nih.gov/35948789/ Neonatal Resuscitation Risk Calculator medicine.ouhsc.edu/academic-departments/pediatrics/sections/neonatal-perinatal-medicine/research/risk-calculator Oral Airway/ Oropharyngeal Airway in Delivery room pubmed.ncbi.nlm.nih.gov/31518615/ Systematic Review of Capnography with Mask Ven...
Code Medications: Beyond Advanced Neonatal Resuscitation, Episode 4
Просмотров 1,7 тыс.2 года назад
I learned it by watching you Paper comparing endotracheal epinephrine vs IV in animals: pubmed.ncbi.nlm.nih.gov/28214793/ Clinical data on epinephrine doses for ROSC: pubmed.ncbi.nlm.nih.gov/28285754/ Animal model varying flush volumes with epinephrine: pubmed.ncbi.nlm.nih.gov/33687959/ pubmed.ncbi.nlm.nih.gov/34205843/ Trial 21 vs 100% starting Oxygen: pubmed.ncbi.nlm.nih.gov/28034908/ Meta-an...
CPAP at Birth: Beyond Advanced Neonatal Resuscitation, Episode 3
Просмотров 4,3 тыс.2 года назад
To CPAP or not CPAP Continuous Positive Airway Pressure (CPAP) CPAP RCTs: pubmed.ncbi.nlm.nih.gov/26295966/ pubmed.ncbi.nlm.nih.gov/28965435/ CPAP and Pneumothorax: pubmed.ncbi.nlm.nih.gov/31399490/ ILCOR 2022 CoSTR on term CPAP in delivery room citing similar evidence as me. ILCOR published this online after I had created my video but before I uploaded it for public viewing. We agree quite wel...
Suction & Meconium: Beyond Advanced Neonatal Resuscitation, Episode 2
Просмотров 6 тыс.2 года назад
Get Me the Thingy Meconium papers: pubmed.ncbi.nlm.nih.gov/30385640/ pubmed.ncbi.nlm.nih.gov/31067816/ pubmed.ncbi.nlm.nih.gov/32963086/ ILCOR 2022 CoSTR on suctioning (published after I had created this video but before I uploaded it for public view, however, we agree quire well): costr.ilcor.org/document/suctioning-clear-amniotic-fluid-at-birth-nls-5120-previous-596 Wipe vs suction paper: pub...
Pulseless Electrical Activity: Beyond Advanced Neonatal Resuscitation, Episode 1
Просмотров 2 тыс.2 года назад
The Neonatologist and the PEA PALS algorithm: www.ahajournals.org/doi/10.1161/CIR.0000000000000901 P.E.A. in neonates: pubmed.ncbi.nlm.nih.gov/30352434/ pubmed.ncbi.nlm.nih.gov/29895572/
Maintaining CPAP vs Maintaining Intubation for NICU Nurses
Просмотров 5 тыс.3 года назад
A short video describing some of the many things NICU nurses do to maintain CPAP on premature babies contrasted with the easier job of maintaining intubation
Baylor's Avoiding Lung Injury (BALI) Conference 2021
Просмотров 7243 года назад
Baylor's Avoiding Lung Injury (BALI) Conference 2021
SAILing through the MIST: sustained lung inflation and surfactant therapy in neonatal resuscitation
Просмотров 3,7 тыс.4 года назад
SAILing through the MIST: sustained lung inflation and surfactant therapy in neonatal resuscitation
Delivery Room Management for Small Babies
Просмотров 12 тыс.4 года назад
Delivery Room Management for Small Babies
NRP Neonatal Resuscitation Alternate Airway Chest Compressions public
Просмотров 39 тыс.5 лет назад
NRP Neonatal Resuscitation Alternate Airway Chest Compressions public
NRP Neonatal Resuscitation Emergency UVC Epinephrine public
Просмотров 9 тыс.5 лет назад
NRP Neonatal Resuscitation Emergency UVC Epinephrine public
NRP Neonatal Resuscitation Initial Positive Pressure Ventilation public
Просмотров 202 тыс.5 лет назад
NRP Neonatal Resuscitation Initial Positive Pressure Ventilation public
With the LMA in place you can hear the baby cry. There is no constriction/obstruction in the vocal cord. So if they can exhale, and the cords aren’t paralyzed, you can hear the baby cry.
This is true and at first can be quite surprising. You might be more used to no crying when you are using the alternative airway of the endotracheal tube.
Thank you. It is great to see the process and not just read about it.😊
I wanted to give a behind the scenes view and "show my work" so to speak. Glad you enjoyed it.
Looking forward to it.
I'm looking forward to releasing it. I have more work to go.
Following after 1 year of this video, have you studied further the application of CPAP for late preterm ? Please share the result,,,tks anyway for sharing this video,,,😊
There is another trial ongoing looking at prophylactic CPAP in late preterm population called the PLANT trial. We are not a part of this, but it may add more evidence once it is complete and published. However, we have fully implemented the algorithm shown. We do not track as closely as done in the trials so hard to know if NICU admissions have been reduced. But, we have not seen any increase in pneumothoraces in this population.
Your description for intubation technique is incorrect. With a Miller you don't go into the valecula, you scoop the whole epiglottis. What you're describing is if you used a MAC blade. Neonates have an immature and floppy epiglottis which is why the Miller blade is preferred (so you can get the whole epiglottis out of the way)
Thanks for watching! I agree with you. However, I do know other neonatologists that do prefer the blade in the valecula. I am not aware of any evidence to say one method is absolutely better than the other. You will notice in my intubation on the mannequin the blade is lifting up the epiglottis. Only in the short video clip and picture to show the anatomy is the blade in the valecula. This video was not intended to be an in depth instructional video on how to intubate. It more goes over the equipment and measures used in neonatal resuscitation.
Hernandez Melissa Young Maria Lewis Donald
Thank you. Please check out the newer version here: ruclips.net/video/b4DOgT_Tusg/видео.htmlsi=vZrm5S1jAVphBKoP Or this version that focuses on initial steps and ventilation: ruclips.net/video/GpUINL0m7wA/видео.htmlsi=p2oUd3bVAYyJd7Pn
Davis Donald Young Jose Rodriguez Margaret
Young Richard White Donna Harris Kimberly
Thank you. Please check out the newer version here: ruclips.net/video/b4DOgT_Tusg/видео.htmlsi=vZrm5S1jAVphBKoP Or this version that focuses on initial steps and ventilation: ruclips.net/video/GpUINL0m7wA/видео.htmlsi=p2oUd3bVAYyJd7Pn
Smith Mary Clark Maria Robinson Robert
Martin Scott Robinson William Wilson John
Thank you. Please check out the newer version here: ruclips.net/video/b4DOgT_Tusg/видео.htmlsi=vZrm5S1jAVphBKoP Or this version that focuses on initial steps and ventilation: ruclips.net/video/GpUINL0m7wA/видео.htmlsi=p2oUd3bVAYyJd7Pn
Anderson Edward Robinson Paul Davis Steven
Robinson Barbara Anderson Sarah Thompson Brenda
Thank you. Please check out the newer version here: ruclips.net/video/b4DOgT_Tusg/видео.htmlsi=vZrm5S1jAVphBKoP Or this version that focuses on initial steps and ventilation: ruclips.net/video/GpUINL0m7wA/видео.htmlsi=p2oUd3bVAYyJd7Pn
Great video!! Cleared a lot of questions I had about the meconium aspirator
Thank you. I'm glad it helped! Hope my others are just as helpful.
Yayyy baby ❤ great video
Thank you.
She’s bagging the heck out of that baby.
Love this one just subscribed
Thank you. Hope you find many useful videos on my channel.
That's was like watching a beautiful symphony everything was so smooth. Great job. Are yall hiring? lol but are you?
Shouldn't neonates be put in a neutral position rather than a ''sniffing'' position?
Was gonna ask the same, I was told you shouldn’t do that because it can cut off the airway. But im not sure
We’re taught sniffing position in NRP
the neutral position and the sniffing position are similar terms. Sorry if this caused any confusion.
The neutral position and sniffing position are interchangeable terms to me. I am sorry if this caused any confusion. Hyper extension of the neck or too much flexion can, indeed, obstruct the airway.
A wonderful NRP demo video. Could you please share with me for the in-hospital education. Thank you very much.
You are welcome to use this video. Glad you can use it
Good video, thank you
You are welcome
U guys are awesome. Our lecturer recommended your video. Very informative and clear explanation ❤
I am glad you liked it. Extra thanks to your lecturer who recommended my channel and videos.
This was very helpful and easy to follow
Glad you liked it. Please share with others you know that will find it helpful, too.
Very good video, thanks a lot to everybody involved.
Thank you for watching video 1 in our 3 part video series on how to perform neonatal resuscitation. Hope you have watched all 3 and please share.
The only thing I would suggest is there are enough people there that the person to baby’s left should do HR if they are comfortable while the head solely does airway, because they then had to pass off the stethoscope and could have been grabbing the t piece instead
It is always a good idea to map out roles you will have and be specific about which role will do which task. Even small changes like this can be helpful. Thanks for watching and commenting. Please watch the other videos in the series and share.
Good
Thank you
Thank you 😊
You're welcome. Hope you watch more videos on my channel and enjoy them as well.
Best video available for neonatal resuscitation
High praise. Thank you very much.
Thank you for this content. By any chance, is there a demo for placing UACs?
UAC placement is a very important skill in neonatology. It is just not one we use in resuscitations (emergency UVC is covered in another video). Good luck.
Super super helpful. Thank you for your videos ❤
You are welcome. Share with those you think will learn from them too.
Omg fantastic video!! Thank you so mucj
Glad you like it. Hope you find all my videos on this channel useful
muchas gracias
de nada.
what was the co2 detector attached to prior to intubation? the mask?
Yes. Colorimetric capnography can be used on a mask too. It has been shown to demonstrate ventilation several seconds before heart rate increases. It can direct the efforts of MRSOPA. This is demonstrated in Video 1 of the series. Check it out too!
😊
thank you, Nathan, MD for your excellent tutorial VIDEO
You are welcome! Please share with others that you think will benefit.
A concise but excellent tutorial. Just wondering how u could hear baby cry with alternate airway in place.
The LMA does not go into the vocal cords, so the baby can actually cry with an LMA in place. It will be muffled by the LMA, but still able to cry just like if a facemark was held over the mouth. Great question and thank you for watching. Please share with those that can benefit from this tutorial.
@@natetexsun Thank you
Thanks for posting these videos
You are welcome. I hope you enjoy all the videos on my channel.
Love all these 161,000 views, but you might like this newer version even more: ruclips.net/video/b4DOgT_Tusg/видео.html
Excellent video
Thanks. Check out the newer version here: ruclips.net/video/b4DOgT_Tusg/видео.html
Thank you for explaining everything.
You are welcome! Please enjoy the newer version: ruclips.net/video/b4DOgT_Tusg/видео.html
This is so much better than the irritating aha meta cognitive format
Thank you so much for watching. Please share with other learners that you think will like them like you.
Excellent
Thank you. I hope you had the chance to watch all 3 in this series.
Amazing excellent demo👍
Thank you.
Hi Nathan, great stuff! Would love a video on resuscitation in congenital heart defects or diaphragmatic hernia! Best regards, Gustaf
Great ideas! Thank you.
Thank You very much for sharing. Could You look for the use of Pulmonar Ultrasound to diagnose pneumothorax? This could work at the delivery room, We don`t have either the X-ray at the delivery room in our unit.
Point of Care Ultrasound (POCUS) is an interesting idea for this. I don't have any experience using this and I am unaware of any studies or trials using this technique. Thanks for watching. Please share with your friends and colleagues.
Would of love to see an example on the discussion with the OB team on what the DCC plan is on a premature infant. Most of the Neo's I work with seem impatient to wait for the minute while the OB is stimulating past 30 seconds on apneic kid.
That discussion happens long before the delivery. Present the evidence. Get buy in from both sides. I view it as handing over the initial steps to the OB team, so I coach them through the whole minute reminding them of when to stimulate, when to back off the suctioning, gentle handling, etc. They have expressed great appreciation that I am watching over their shoulder for that minute. But if the baby remains apneic and poor tone after about 30 seconds, I let them know to clamp at that time. The biggest gains from DCC are probably when the baby breathes before the clamping, but not all babies allow that. Thanks for all your great comments.
Sedation for LISA?
Definitely! Studies haven't made any choice better than another yet. I use atropine and fentanyl. I see many other choices in the literature. But some procedural sedation is a must in my book.
How about a video on patience in the DR. Different providers have different thresholds when they think interventions should be initiated. Apnea vs periodic breathing or PPV or not to PPV. Definitely bulb suctioning is over utilized in the DR. I still hear of facilities doing CPT on "WET" sounding lungs. Fun and engaging videos. Keep up the good work.
Great ideas. I do cover suctioning on episode 2 here: ruclips.net/video/mGEosdxVBtU/видео.html And I try to demonstrate patients in our small baby resuscitation video here: ruclips.net/video/Z8HS0YCtl-g/видео.html Thank you for watching and your comments
No thingy..no problem. Just jam end of suction tubing on end to hub of ETT. Yes its continuous but hey better than no thingy. Thanks doc love that I found your channel and I will be sharing with my colleagues.
Positive feedback like this is so kind and encouraging. I'm glad you enjoy my videos. Yes, please share with those you know.
Should check baby heart rate at umbilical cord, have suction ready, I think 100% for resuscitation, did you explain Algae Scoring, some babies need quick suction then bag up, if HR to low gentle chest compressions. Usual 100% O2 saves babies, sometimes can be shock, the Doctor can push umbilical blood into baby before umbilical cord clamped cut, I did this job 6 years & never had a bad baby, its very important to have ambu bag ready to go, suction ready, if yoh are alone tape suction open port closed, such a rewarding job & so important, good luck!
Thank you for watching. This video accurately depicts the teaching from the Neonatal Resuscitation Program (NRP) 7th edition and is still very accurate for 8th edition (with a few changes). 100% oxygen is not an initial strategy in NRP anymore. 100% oxygen is used when chest compressions are being delivered or if guided by the saturations of the baby we have to titrate that high to get our saturations in the target range. I hope this video was helpful to you.
A very common problem I face in our unit is the deep suctioning( catheter) done before starting PPV because RTs are not comfortable starting PPV before suction!! Though NRP says suction if needed in the initial steps ..then if PPV isn't effective MRSOPA's 3ed step is suction..any tips to change that practice 🙄
I think that is all too common. Not sure if it will help, but in episode 2, ruclips.net/video/mGEosdxVBtU/видео.html I describe when to suction in general (not just specific to meconium). The wipe trial showed that just a quick wipe of the mouth with a cloth was better than bulb suctioning. Instead of trying to stop a practice you don't like - bulb suction before PPV - maybe try to get them to replace that with another - wipe the mouth before PPV.